Individual provider Active NPI

Tresa Dee McCormick, APRN

  • Advanced Practice Midwife
  • Federal Way, WA
National Provider Identifier
1245849249
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP61035964 Issued in WA
Practice address
34709 9TH Ave S Ste B500
Federal Way, WA 98003-6789
Phone
(253) 944-6950
Fax
(253) 661-8603
NPI assigned
Jul 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP61035964 WA Primary

Addresses

Primary practice location

34709 9TH Ave S Ste B500
Federal Way, WA 98003-6789

Mailing address

34709 9TH Ave S Ste B500
Federal Way, WA 98003-6789
Phone (253) 944-6950

Other identifiers 1

IdentifierTypeStateIssuer
2164932MedicaidWA

Other names 1

  • Tresa Dee Simpson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmccormick184989@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201120000707 WA Practitioner - Certified Nurse Midwife (CNM) 8022429190 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Nov 16, 2020 Accepting new patients
Franciscan Medical Group CurrentSince Nov 16, 2020 Accepting new patients
Franciscan Medical Group Current Accepting new patients
St Francis Community Hospital Past Accepting new patients
Michael B Smith MD Past Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

205 10th St NE
Ste 200
Auburn, WA 98002
Phone (253) 351-5300

700 S 320th St
Ste B
Federal Way, WA 98003
Phone (253) 838-1520

34709 9th Ave S
Ste B500
Federal Way, WA 98003
Phone (253) 838-8552

34509 9th Ave S
Ste 207
Federal Way, WA 98003
Phone (253) 815-9595

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: tmccormick184989@fhsce.catholichealth.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1245849249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34709 9TH AVE S STE B500",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036789",
            "telephone_number": "253-944-6950",
            "fax_number": "253-661-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34709 9TH AVE S STE B500",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036789",
            "telephone_number": "253-944-6950",
            "fax_number": "253-661-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "TRESA",
        "middle_name": "DEE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-26",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP61035964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2164932",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmccormick184989@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34709 9th Ave S Ste B500",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980036789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRESA",
            "last_name": "SIMPSON",
            "middle_name": "DEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.